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The Chief is talking in the beginning of the show. He says the best Chief is about responsibility, you need to be able to look at a friend and tell them they lost a child. Your wife, you get caught up with taking care of other people’s families and you sacrifice your own.

 

Callie is writing down Christina’s vows on her hand. Christina says it’s not the married part she doesn’t like it’s the wedding part. Meredith tells Christina that she needs her to go down the aisle today it means people like them can get married. Christina tells her she gets it, this about her. Meredith says yes, you restore my faith. Christina says “Okay” and Meredith says ”Good”.

 

The Chief is in the hospital room with Adele. Addison tells him that she couldn’t tell him Adele was in the hospital due to Doctor, Patient confidentiality. He says he had a right to know, she is still his wife and if something happens to her he has the right to make a decision. Addison tells him that she may be having a miscarriage, she’s pregnant.

 

Burk is in the room with the surrogate, he tells them that the babies have to come out today. The surrogate tells Bob that she can’t do this today; she still hasn’t decided who she wants to give the babies to. He tells her what’s important right now is her health; she doesn’t need to decide that right now.

 

Miranda sends Meredith to be with Adele. She sends Christina home, she tells her she has 12 hours before getting married and she should be doing things to prepare for the wedding not surgeries. Christina says what about Burk? He’s getting married too and he’s here? She says there is only One Preston Burk, and Christina says, Yeah and there is only ONE Christina Yang. Miranda tells her she is giving her the day off so take it and go.

 

We see the chief talking to Dr. McSteamy; he tells him he’s not going to be the new chief resident.

 

Derek asks the climbers what really happened on that mountain, there friend is alive and they found him. The friends freak out, they say that they were climbing and they started to fall and the axe to hold onto the rock hit his friend in the head, they thought he was dead and they had to get out of there. They know it was wrong but that had to survive.

 

Adele wakes up; Addison tells her the Chief knows she is pregnant. Now we are going to try and find a heartbeat. Addison tells Adele that the heartbeat is a little slow but with a few liquids and transfusions he could get stronger. The Chief asks Adele why she didn’t tell him she was pregnant. She says, what were you going to do congratulate me? She tells him she’s sure he has to work. He says he’s good right there and sits down.

 

Rebecca/AVA, JANE DOE – Her husband shows up and asks for her. He hugs her and says that he shouldn’t have let her go he’s never going to let her go again. Alex watches from outside the door.

 

Meredith tells Derek that she knows she hasn’t been herself lately but she’s back and so is the Horney self, so he should sleep over tonight. Derek tells Meredith that he met a woman yesterday at the bar. Meredith asks if she should be worried. He says no but she was flirting with me and that, you should be worried about.

 

The Chief tells Addison she is not the new Chief resident. She says she needs the job; it’s a reason to stay. He tells her that’s why she is not getting the position, if she needs a reason then she needs a new job or a new life.

 

Callie tells George she wants to have a baby. He just tells her there is a guy in the surgery room with an axe in his head, she tells him okay and to go.

 

The Chief tells Adele to take her pills. She tells him to ask who the father is; she knows he wants to know. He says he doesn’t care who the father is.

Meredith comes in to take Adele to her room, Adele tells Meredith she knew her mom and she knew her when she was little. Her mom used to flirt with her husband. So she watched her grow up because she didn’t want to see them flirting. She says I heard about your mom and I’m sorry. Meredith tells her and I’m sorry for what my mom did.

 

Mama Jane gives a huge chocker necklace to Christina, she tells her it’s been in the family for generations it shows how she is really willing to become a Burk. She then asks her what she is going to do with those eyebrows. Christina says nothing and looks worried.

 

Lizzie and Alex help work on the twin delivery.

 

George works on the climber with the axe in his head. Derek Pulls the axe out slowly and says it’s a clean cut and doesn’t make sense. What if the axe didn’t go in by accident George asks?

 

The Chief tells Burk that he knows a lot, he knows he’s one of the best surgeons but not perfect, he doesn’t know everything, he wants to give him the job but he can’t. Burk just walks out. He yells out to him but he just turns around and says I have a wedding to go to and leaves.

 

Addison tells Burk to try his vows on them. They are women and they will know. He recites his vows and Addison takes a deep breath, Burk takes it the wrong way and says its okay I can re-write them.  She tells him No they are perfect, she can speak for every women in that room, dump her and marry me. (LOL).

 

George wakes Callie up and asks if having a baby is what she really wants. She says it is, and he says then let’s do it. She gets excited and they kiss.

 

 

Christina shows up and Meredith starts talking not looking at her, she tells her about how Derek was flirting with another women, Christina tells her, you know how sometimes it’s about you and sometimes it’s about me, well this about me! Meredith turns around and is shocked. Christina says MAMA JANE took my eyebrows. She is left with no eyebrows and she says and now I’m a Burk!

 

Christina tells Miranda that she needs to do a cut, just one cut. She will have no dignity, she won’t feel like herself. Does she know how it feels to not feel like yourself? Miranda says, okay but only one cut and then you are leaving to get married.

 

Addison goes to tell the Chief that Adele lost the baby but before she finishes he rushes into the room thinking Adele passed away. She wakes up and Adele tells him that she never told her Boyfriend that she was pregnant, she figured he wouldn’t want the baby, and that he would leave, he figures out that she’s talking about him. The baby belonged to the Chief. She tells him it was a boy and that she is sorry.

 

Miranda lets Christina cut and then tells her to go.

 

Izzie tells George to hold on. I wanted to make sure no one was around. I’m a fool, You are my best friend and I love you, if you want to be with Callie I will support you and because I love you and I’m in love with you, I’m in love with you. I can’t promise the future but in my heart I know I’m in love with you and I hope you are in love with me too. George is silent, she says to say something. Meredith, Alex and Christina then walk in, they say they have to get ready for the wedding.

They get there test scores and everyone says they passed.

 

Rebecca tells Alex that she has every reason to go with her husband, he’s a great father a good person, and medically she has no reason to stay. Alex goes to check the charts, she tells him he doesn’t get it, does she have to spell it out for him, and he asks what she wants from him. She says for him to give her a reason to stay. He tells her she should go with her husband and walks out of the room.

 

Meredith tells Derek to just end it if that’s what he wants. He says he loves her and she doesn’t understand that she is the love of his life he can’t leave her. He tells her to leave him, she always stays with her friends, but she always leaves him. If she doesn’t see a future with him then just put him out of his misery. She says she can’t do this right now she has to make sure Christina walks down that aisle.

 

Burk asks Derek if he’s okay, he says he is fine. Burk tells Derek that Richard didn’t pick me to be Chief, Derek asks who is the Chief but Burk doesn’t know. Derek tells Burk that he and Meredith may not make it, but today’s his day so go get married.

 

Addison tells Alex he doesn’t want her he wants Ava. He says he doesn’t, and she says to just listen, we do not get unlimited chances and this is your chance. He goes to find Ava.

 

George and Miranda are talking outside the hospital. She asks if she failed him, he says he failed her. He didn’t pass the Intern exam. He says he can’t do it over.

 

Addison tells Christina she looks nice in her dress. Callie tells Izzie today was a big day for her and George she made Chief resident and they are planning to have a baby. Izzie is in shock.

 

Christina realizes her vows are not on her hands, she can’t go down the aisle with nothing to say. She tells Meredith to tell her something she would tell her. Meredith grabs her and tells her to stop whining, this is you’re wedding day, if I have to kick your ass all the way down the aisle you are getting married today. We need this. She says okay she is ready.

 

Burk starts to walk down the aisle to get Christina he opens the doors, Christina tells him she was nervous but she is ready to go back, he says I’m sorry he tells her he knows she doesn’t want to walk down the aisle, I should love you not the women I’m trying to change you to be and I don’t want to be waiting for you. Christina yells out I’m wearing this dress for you, I’m wearing the dress. She says she really thinks she wants to get married. He tells her he wished she didn’t think, he wished she knew. Meredith makes the announcement that the wedding is off.

 

Alex runs to find Ava but she is gone.

 

Christina stands in her wedding dress and Meredith walks in, Christina says he’s gone. Meredith says it doesn’t look like he’s gone. Christina says no, his trumpet is gone, his books his pictures his lucky scrubs, he’s gone. She starts screaming that she is free damn it I’m free and she starts crying. She yells at Meredith to take the choker off, take the dress off. Meredith helps her take it off and hugs her as she cries.

 

Izzie sits in an empty church while Callie looks at her.

George sees the new interns walk in as he cleans his locker out.

 

The Chief is talking to Derek and offers him the position of new chief resident. Derek turns it down and says he is not the one for the job, he tells him to stay as Chief Resident, and walks out.